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TennesseeHB 2044114th General Assembly (2025-2026)HouseWALLET

AN ACT to amend Tennessee Code Annotated, Title 63; Title 68, Chapter 11, Part 2 and Chapter 1042 of the Public Acts of 2024, relative to certified medical assistants.

Sponsored By: Pat Marsh (Republican)

Became Law

Medical Occupations

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 0 benefits, 1 costs, 2 mixed.

Clear list of medicines CMAs can give

The law lists many medicines a certified medical assistant may prepare or give. These include vaccines; intramuscular, intradermal, and subcutaneous shots; inhalers and unit-dose nebulizers; eye, skin, ear, nose, rectal, vaginal, and oral medicines; and some local anesthetics in limited forms. A provider must order the medicine. It must be in a single-dose ready package, or in a multi-dose package with a specific dose ordered and no dose math required.

Physician assistants can delegate to CMAs

A physician assistant working with a licensed doctor may delegate tasks to a certified medical assistant. Delegation must follow a written protocol or collaborative agreement with the physician. The Board of Physician Assistants can set rules, including on vaccines, for these delegations. Tasks that need the physician assistant’s own judgment to assess, plan, or change care cannot be delegated.

Certified MA credentials set; clinic training ends

To count as a certified medical assistant under this law, you must be certified by AMT, AAMA, NCCT, NHA, or NAHP. The law removes the rule that outpatient clinics must train and verify CMAs to give medicines. Employers may still choose to train staff, but this statute no longer requires it.

Sponsors & Cosponsors

Sponsor

  • Pat Marsh

    Republican • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 165 • No: 0

House vote • 3/16/2026

FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/16/2026

Yes: 94 • No: 0

House vote • 3/16/2026

HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

Senate vote • 3/16/2026

FLOOR VOTE: Third Consideration 3/16/2026

Yes: 29 • No: 0

House vote • 3/9/2026

HOUSE GOVERNMENT OPERATIONS COMMITTEE

Yes: 11 • No: 0

House vote • 3/3/2026

HOUSE HEALTH COMMITTEE

Yes: 24 • No: 0

House vote • 2/18/2026

HOUSE HEALTH SUBCOMMITTEE

Yes: 7 • No: 0

Actions Timeline

  1. Pub. Ch. 755

    4/23/2026

  2. Effective date(s) 04/13/2026

    4/23/2026

  3. Signed by Governor.

    4/13/2026

  4. Transmitted to Governor for his action.

    4/1/2026House

  5. Signed by H. Speaker

    3/24/2026House

  6. Signed by Senate Speaker

    3/24/2026Senate

  7. Enrolled; ready for sig. of H. Speaker.

    3/17/2026House

  8. H. adopted am. (Amendment 1 - HA0595)

    3/16/2026House

  9. Passed H., as am., Ayes 94, Nays 0, PNV 0

    3/16/2026House

  10. Engrossed; ready for transmission to Sen.

    3/16/2026House

  11. Received from House, Passed on First Consideration

    3/16/2026Senate

  12. Senate substituted House Bill for companion Senate Bill.

    3/16/2026Senate

  13. Amendment withdrawn. (Amendment 1 - SA0596)

    3/16/2026Senate

  14. Passed Senate, Ayes 29, Nays 0, PNV 2

    3/16/2026Senate

  15. H. Placed on Regular Calendar for 3/16/2026

    3/12/2026House

  16. Placed on cal. Calendar & Rules Committee for 3/12/2026

    3/11/2026House

  17. Rec. for pass; ref to Calendar & Rules Committee

    3/9/2026House

  18. Placed on cal. Government Operations Committee for 3/9/2026

    3/4/2026House

  19. Rec. for pass. if am., ref. to Government Operations Committee

    3/3/2026House

  20. Placed on cal. Health Committee for 3/3/2026

    2/25/2026House

  21. Rec for pass if am by s/c ref. to Health Committee

    2/18/2026House

  22. Placed on s/c cal Health Subcommittee for 2/18/2026

    2/11/2026House

  23. P2C, ref. to Health Committee - Government Operations for Review

    2/4/2026House

  24. Assigned to s/c Health Subcommittee

    2/4/2026House

  25. Intro., P1C.

    2/2/2026House

Bill Text

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